NPI | 1174892806 |
---|---|
Former Name | SHELLY SARIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112269) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 112269) |
101Y00000X Counselor | |
Enumeration Date | 2011-12-27 |
Last Update Date | 2019-07-03 |